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The applicant appealed a denial of medications, arguing the Independent Medical Review (IMR) determination was improper because the defendant failed to provide complete medical records. The Appeals Board granted reconsideration, finding the WCJ erred in deeming the issue solely a medical question. The Board determined the IMR decision was based on plainly erroneous findings of fact and lacked necessary documentation. Consequently, the case is remanded to the Administrative Director for a new IMR by a different reviewer.
Scott Ussery vs. CITY OF MODESTO POLICE DEPARTMENT, YORK RISK SERVICES GROUP is a workers' compensation case decided in Stockton. This case addresses legal issues related to compensation claims, benefits, and court rulings.
It is commonly referenced in legal research involving workers' compensation laws in Stockton.
Full Decision Text1 Pages
The applicant appealed a denial of medications, arguing the Independent Medical Review (IMR) determination was improper because the defendant failed to provide complete medical records. The Appeals Board granted reconsideration, finding the WCJ erred in deeming the issue solely a medical question. The Board determined the IMR decision was based on plainly erroneous findings of fact and lacked necessary documentation. Consequently, the case is remanded to the Administrative Director for a new IMR by a different reviewer.
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